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NPI Code Detail

MEDICARE: OKSANA SUYUNOV RN

MEDICARE:   OKSANA  SUYUNOV  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WN0300XNephrology Registered Nurse585912NY

General Provider Information

NPI Number : 1427988104
Entity Type Code : Individual
Provider Name (Legal Business Name) : OKSANA SUYUNOV RN
Provider Business Mailing Address
First Line : 8133 165TH ST
Second Line :
City : JAMAICA
State : NY
Zip : 11432-1209
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8133 165TH ST
Second Line :
City : JAMAICA
State : NY
Zip : 11432-1209
Country : US
Telephone Number : 646-645-7116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2026
Last Update Date : 05/22/2026

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